Active NPI
Peggy Jean Halsey, CDM, CPM
- Midwife
- Wasilla, AK
National Provider Identifier
1891918686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 44
- Practice address
- 2405 S. Knik Goose Bay Road
Wasilla, AK 99654 - Phone
- (907) 841-2565
- Fax
- (888) 862-1422
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 44 | AK | Primary |
Addresses
Primary practice location
2405 S. Knik Goose Bay Road
Wasilla, AK 99654
Mailing address
PO Box 874486
Wasilla, AK 99687-4486
Phone (907) 841-2565
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022098 | Medicaid | AK | |
| 44 | Other | AK | STATE LICENSE NUMBER |
| NM0044 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rejuventate Ak | Current | Accepting new patients | |
| Labor of Love Midwifery, LLC | Past | Accepting new patients |
Locations
2405 S Knik Goose Bay Rd
Wasilla, AK 99654
Phone (907) 841-2565
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- Wasilla, AK
- NPI 1831877273
-
- Lay Midwife
- Wasilla, AK
- NPI 1821399460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1891918686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 874486",
"city": "WASILLA",
"state": "AK",
"postal_code": "996874486",
"telephone_number": "907-841-2565",
"fax_number": "888-862-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 S. KNIK GOOSE BAY ROAD",
"city": "WASILLA",
"state": "AK",
"postal_code": "99654",
"telephone_number": "907-841-2565",
"fax_number": "888-862-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALSEY",
"first_name": "PEGGY",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "CDM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AK",
"license": "44",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022098",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "44",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NM0044",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.